[Complementary procedures to the Sjoqvist operation in cancerous cervico-facial pain]

The trigeminal spinal tractotomy of Sjoqvist can be enlarged and give a very good result on cancer pain of face and throat. When pain is also cervical, it is usefull to associate with the Sjoqvist operation two important procedures: 1 degree--Instead of a simple posterior cervical radicotomy it seems best to practise a selective posterior radicellotomy. This technic has the advantage to preserve the sensory proprioceptive capacity of the superior limb, while being perform even until C6 and C7 roots. Also in case of recurrence of cervico brachial pain, it remains easy to apply a posterior spinal stimulation. 2--The spinal nerve has not only a motor function but also a sensory one. The sensory fibers travelling through small anastomosis between "LARUELLE Ganglion" and cervical roots must be separated to obtain a more complete analgesia.